Practice Quiz

NCLEX-PN

Category - Physiological Adaptation

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A client is admitted to the facility with a diagnosis of syndrome of inappropriate antidiuretic hormone secretion. Which of the following interventions is the most appropriate when caring for the client?
  1. Offer foods high in sodium, such as milk and cheese
  2. The nurse increases the client’s fluid intake, as ordered
  3. Monitor the client’s response to desmopressin
  4. Monitor the client’s weight after the first meal of the day
Explanation
Answer: A - A client with SIADH retains fluid in the body, resulting in serum sodium levels between 115 and 120 mEq/L. The nurse should offer foods high in sodium to help correct sodium imbalances. To relieve the symptoms and prevent possible complications, the client’s fluid intake is limited to 1000 mL per day. Daily weights are usually obtained before breakfast. Desmopressin is administered to retain fluids, so administration of this drug is not appropriate.
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